Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07609 | Date 07/08/2024 |
| Token No | SM/24-25/26201 07/08/2024 | Serial | 076 |
| Patient Name | Mr. BARUN CHOWDHURY | Contact No | 9163188617 |
| Address | CHOTOBELU MAHISHYA PARA BELUMILKI 712223 | Age | 13 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||